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MRS. CAROL L HOLTON FNP
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1043287527
Individual Registrant:MRS. CAROL L HOLTON FNP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
37 COLLEGE AVE SOUTH SAINT JOSEPH, MN 56374 US
Tel: 320-363-5605 Fax: 320-363-6396
Tel: 320-363-5605 Fax: 320-363-6396
Contact information for business:
37 COLLEGE AVE S 3COLLEGE OF ST. BENEDICT - LOOTIE HALL SAINT JOSEPH, MN 56374-2001 US
Tel: 320-363-5605 Fax: 320-363-6396
Tel: 320-363-5605 Fax: 320-363-6396
Registration Information:
NPI: 1043287527
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | MN | MNR1219298 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 631175000 | MN | 05 |
